Mr McGhie says either agreement would leave most members just one dollar a week better off and well below the rate of inflation.

"Victoria's paramedics are the best-trained paramedics in the country but they are also the worst paid," he said in a statement.

"Patients are already paying a high price for a crisis in ambulance services and (Premier) Ted Baillieu's plan to cut wages will just make matters worse."

But Ambulance Victoria general manager Tony Walker said on Wednesday paramedics had been presented with a range of pay possibilities outside current state government policy.

"We're doing all we can to provide options for paramedics to consider so that they can increase their wages beyond the government policy of 2.5 per cent," Mr Walker said in a statement.

"We are not making our employees give up their leave, simply attempting to give them more options.

"One of the options looks to apply a payment of shift penalties which gives a range of increases beyond 2.5 per cent to more than five per cent in the first year for the majority of our paramedic workforce."